Central Sterile Supply Room (CSSR) Lecture Notes PDF

CENTRAL STERILE SUPPLY ROOM LECTURE BY : DR. SAIQUA LASHARI LECTURER DEPARTMENT OF PHARMACY  Definition A centralized unit which provides professional supplies and equipment (sterile) to all departments. Special departments, clinics...

CENTRAL STERILE SUPPLY ROOM LECTURE BY : DR. SAIQUA LASHARI LECTURER DEPARTMENT OF PHARMACY  Definition A centralized unit which provides professional supplies and equipment (sterile) to all departments. Special departments, clinics, certain specialized laboratories e.g, cardiac catheterization or operating room etc.  Early days Reusable items Now a days Plastic and disposable items Example: Droppers, syringes, tubing, urine collecting sets, needles, gloves and blood bags. Recent advantages Cleaning, storage and dispensing of specialized equipment. Suction pumps, monitoring equipment, surgical dressing carts, special kits and trays.  Developed in 1960 as an equipment washing room with autoclaving facility But now it’s a part of modern production line technique with automatic control recording devices to ensure sterility , modern washing, drying and powdering equipment for surgical gloves as well as taking an active role in developing various gas and cold sterilization techniques. Management of CSSR Pharmacist Processes, Procure, storage and distribution of supplies Nurses Dispensed to nurses and used in particular departments Pharmacist Nurses Management STERILIZATIO N EQUIPMENTS Hot air oven autoclave Terms Used in Instrume nt Processin g Classification of Patient-Care Items  Patient-care items are categorized into three classifications:  Critical  Semicritical  Noncritical  The categories are based on the risk of infection associated with their intended use.  The classifications are used to determine the minimal type of post treatment processing. Critical Instruments  Critical instruments are items used to penetrate soft tissue or bone.  They have the greatest risk of transmitting infection and should be sterilized with the use of heat.  Examples of critical instruments include forceps, scalpels, bone chisels( for cutting), scalers, and burs(used for cutting hard tissues like teeth). Semicritical Instruments  Semicritical items instruments touch mucous membranes or nonintact skin and have a lower risk of disease transmission.  The majority of semicritical items in dentistry are heat- tolerant, and they should also be sterilized.  If the item will be damaged by heat, it should undergo, at a minimum, high-level disinfection.  Noncritical Instruments  Noncritical instruments pose the least risk of transmission of infection because they come into contact only with intact skin, which is an effective barrier to microorganisms.  These items should be cleaned and processed with the use of an EPA( environment protection agency)-registered intermediate-level or low-level disinfectant after each patient use.  Noncritical clinical devices include the position indicator device of the x-ray unit tube head, the lead apron, and the curing light that comes into contact only with intact skin.  Personal Protective Equipment  For disease agents from a previous patient to be prevented from being transferred to yourself, or the next patient, instrument processing must be performed in a consistent and disciplined manner.  You must always use personal protective equipment (PPE), including utility gloves, mask, eyewear, and protective clothing, when processing instruments. PPE must be worn during preparation of instruments for sterilization.  Workflow Pattern(infrastructure)  Regardless of the size or shape of the instrument-processing area, four basic areas govern the pattern of workflow.  Processing of instruments should proceed in a single loop, from dirty to clean to sterile to storage, without ever “doubling back.”  If the instrument-processing area is small, you can use signs:  “Contaminated items only”  “Precleaning area”  “Cleaned items only”  “Sterile items only”  “Sterilization area” CSSR PHILOSOPHY AND OBJECTIVE Centralized system Practicing Total Decontamination MAINTAINING PROFESSIONAL IMPROVED HIGH SUPPORT PATIENT CARE PROCESSING STANDARDS  Assume total responsibility for direct operating room 01 Assume total responsibility for processing hospital items 02 CSSR Uniformity and simplicity in preparing procedural trays & sets 03 Maintain accurate and correct inventory of supplies & equipment. 04 Maintain records of effectiveness of various processes of cleaning, disinfecting and 05 sterilization Contribute in educational programs with in hospital relating to infection control 06 Develop cost effective programs by cost analysis of personnel, supplies and equipment. 07  CSSR in the Hospital Organization CSSR unlike pharmacy is not a full department it is actually a sub department. So the director, supervisor or manager of the unit doesn’t report to the administrator or his assistant but to some major department heads. 01: SURGICAL CARE DEPARTMENT a: CSSR b: operating room c: recovery room d: Intensive surgical care room  Pharmacy CSSR Pharmacy prepares solution in bulk and transports the SOLUTION ROOM 0 tanks to CSSR for bottling and sterilization. In some hospitals 1 manufacture of sterile or injectables or irrigating Prepares and packages the solutions for sterilization solution is separated from 0 by CSSR. the CSSR but works 2 under supervision of pharmacist. Prepares concentrated solution which in then diluted, 0 packaged and sterilized at CSSR. 3 Prepares a mixture of chemicals in the dry state which 0 when dissolved in a specified volume of D.W results in desired product. 4